Medicine
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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty
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Item Prevalence of overweight and obesity among women in two medical officer of health areas in Kalutara district(College of Community Physicians of Sri Lanka, 2023) Herath, D.; Kasturiratne, A.INTRODUCTION: Overweight and obesity are rising burdens in the w orld. Gender disparities in its prevalence are more evident in developing countries compared to developed countries. OBJECTIVES: To determine the prevalence of overweight and obesity among 35-44-year-old women in Bandaragama and Horana Medical Officer of Health (MOH) areas METHODS: This was a community-based descriptive cross-sectional study conducted among 770 women aged 35-44 years residing in two MOH areas of Kalutara District for the l ast six months at the time of data collection. Overweight/obesity were assessed on the Asian cutoff values recommended by the WHO based on body mass index (BMI). The prevalence was estimated with 95% confidence interval (CI). RESULTS: The prevalence of overweight in Bandaragama and Horana MOH areas was 41.35% (95% CI: 37.9, 44.81) and 39.7% (95% CI: 36.3, 43.2), respectively, while the correspondi ng prevalence of obesity was 36.1% (95% CI: 32.8, 39.6) and 26.6% (95% CI: 16.4, 39.1). CONCLUSIONS & RECOMMENDATIONS: The prevalence of overweight /obesity among women aged 35-44 years was relatively high. Barriers to a healthy lifestyle, women's role in the household and existing service gaps at primary healthcare level should be considered when preventive measures ar e introduced to reduce this burden.Item Incidence, prevalence and demographic and life style risk factors for obesity among urban, adult Sri Lankans: a community cohort follow-up study(Sri Lanka Medical Association, 2017) Niriella, M.A.; de Silva, S.T.; Kasturiratne, A.; Kottachchi, D.; Ranasinghe, R.M.A.G.; Dassanayake, A.S.; de Silva, A.P.; Pathmeswaran, A.; Wickremasinghe, A.R.; Kato, N.; de Silva, H.J.INTRODUCTION & OBJECTIVES: Obesity is a global problem. Data from the South Asian region is limited. METHODS: In a cohort follow-up study we investigated obesity among urban, adult, Sri Lankans (35-64y; selected by age-stratified random sampling from Ragama-MOH area; initial screening 2007; re-evaluation 2014). On both occasions structured interview, anthropometry, liver ultrasound, biochemical and serological tests were performed. Total body fat (TBF) and visceral fat percentage (VFP) were assessed by impedance in 2014. General-obesity (GO) was BMI>25kg/m2. Central-obesity (CO) was waist circumference (WC)>90cm males and WC>80cm females. Multinomial logistic regression was fitted to assess associations. RESULTS: In 2007 (n=2967), 614 (20.7%) were overweight [51.9%-women], 1161(39.1%) had GO [65.9%-women] and 1584(53.4%) had CO [71%-women]. Females (p<0.001), raised-TG (p<0.001), low-HDL (p<0.001), diabetes (p<0.001), hypertension (p<0.001), NAFLD (p<0.001), and low household income (p<0.001) were significantly associated with prevalent GO and CO respectively. Additionally, increased-age (p=0.05), low-educational level (p<0.001) and unhealthy eating (p<0.001) were associated with prevalent CO. Inadequate physical activity was not associated with either. 2137 (72%) attended follow-up in 2014. Of those who were initially non-obese who attended follow-up, 189/1270 (14.9%) [64% women] had developed GO (annual-incidence 2.13%) and 206/947 (21.9%) [56.3% women] had developed CO (annual incidence 3.12%) after 7 years. TBF and VFP significantly correlated with incident GO and CO (p<0.001). Female gender (OR-1.78, p<0.001; 2.81, p<0.001) and NAFLD (OR-2.93, p<0.001; OR-2.27, p<0.001) independently predicted incident GO and CO respectively. CONCLUSION: The prevalence and incidence of GO and CO were high in this cohort. Both incident GO and CO were strongly associated with female gender and NAFLD.